NORTHWEST KIDNEY CENTERS (NPI# 1801404124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801404124 |
| Entity Type | Organization |
| Organization Name | NORTHWEST KIDNEY CENTERS |
| Practice Address |
1010 Se Everett Mall Way Ste 104 Everett WA 98208-2855 |
| Mailing Address |
700 Broadway Seattle WA 98122-4302 |
| Practice Telephone | 2062922771 |
| Mailing Telephone | 2067208508 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | CARRIE MCCABE (CFO) |
| Authorized Official Telephone | 2067208508 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST KIDNEY CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Everett Kidney Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
| 1861981177 | Northwest Kidney Centers | Clinic/Center | 501 S 336th St Ste 110, Federal Way, WA 98003-6745 | 2018-05-02 |
| 1063901379 | Northwest Kidney Centers | Clinic/Center | 6021 12th St E Ste 100, Fife, WA 98424-1399 | 2018-05-02 |
| 1083132799 | Northwest Kidney Centers | Clinic/Center | 33820 Weyerhaeuser Way S, Federal Way, WA 98001-9617 | 2017-09-01 |
| 1811241656 | Northwest Kidney Centers | Clinic/Center | 857 Roosevelt Ave E, Enumclaw, WA 98022-9239 | 2012-11-01 |
| 1164675112 | Northwest Kidney Centers | Clinic/Center | 25316 74th Ave S Ste 101, Kent, WA 98032-6022 | 2008-11-03 |
| 1861587750 | Northwest Kidney Centers | Clinic/Center | 2150 N 107th Suite 160, Seattle, WA 98133 | 2006-10-04 |
| 1881789006 | Northwest Kidney Centers | Clinic/Center | 1501 W Valley Hwy N Ste 104, Auburn, WA 98001-1606 | 2006-10-04 |
| 1891880332 | Northwest Kidney Centers | Clinic/Center | 809 Georgiana St, Port Angeles, WA 98362 | 2006-10-03 |
| 1215022876 | Northwest Kidney Centers | Clinic/Center | 1474 112th Ave Ne, Suite 100, Bellevue, WA 98004-3762 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST KIDNEY CENTERS | 700 Broadway, Seattle, WA 98122 |
| Washington State Corporations | NORTHWEST KIDNEY CENTERS FOUNDATION | 700 Broadway, Seattle, WA 98122 |
| Street Address |
1010 SE EVERETT MALL WAY STE 104 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174766299 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Suite C, Everett, WA 98203-6419 | 2009-04-20 |
| 1053357434 | Puget Sound Kidney Centers | Clinic/Center | 1005 Pacific Ave, Everett, WA 98201-4148 | 2006-06-22 |
| 1518920131 | Keystone Kidney Care Inc | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2006-04-07 |
| 1104379726 | Usrc Bedford, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2016-08-01 |
| 1326460643 | Keystone Kidney Care, LLC | Clinic/Center | 141 Memorial Dr, Everett, PA 15537-7030 | 2014-01-07 |
| 1811261431 | Prodigy Dialysis | Clinic/Center | 119 Spring Ln, Everett, PA 15537-6938 | 2012-02-29 |
| 1194048702 | Refuge Dialysis LLC | Clinic/Center | 8130 Evergreen Way, Everett, WA 98203-6419 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1447867247 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 200 Westerly Rd Ste 104, Bellingham, WA 98226-6489 | 2020-09-25 |
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1134768088 | Renal Care Group Northwest, Inc. | Clinic/Center | 19663 Sr 410 E, Bonney Lake, WA 98391-5202 | 2019-12-24 |
| 1932757093 | Northwest Kidney Centers | Clinic/Center | 4401 S Trenton St, Seattle, WA 98118-4923 | 2019-08-30 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1861981177 | Northwest Kidney Centers | Clinic/Center | 501 S 336th St Ste 110, Federal Way, WA 98003-6745 | 2018-05-02 |
| 1063901379 | Northwest Kidney Centers | Clinic/Center | 6021 12th St E Ste 100, Fife, WA 98424-1399 | 2018-05-02 |
| 1255838694 | Franciscan Health System | Clinic/Center | 19420 State Route 410 E, Bonney Lake, WA 98391-8472 | 2018-04-11 |
| 1083132799 | Northwest Kidney Centers | Clinic/Center | 33820 Weyerhaeuser Way S, Federal Way, WA 98001-9617 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.